Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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| Yes | No | Yes | No | Yes | No | ||||
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| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
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| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| Part VI | Form 990, Part VI, Question 2 - Description of Family or Business Relationships Isaac Mallah, Cathy Yoder, Elaine Shimberg, and Lee Kirkman are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Form 990, Part VI, Question 6 - Description of Classes of Members or Stockholders Catholic Health East, a Pennsylvania nonprofit corporation is the sole member of St. Joseph's Hospital, Inc. Form 990, Part VI, Question 7a - Description of Classes of Persons and the Nature of Their Rights The members of the Board of Trustees of the Corporation shall be appointed by the Member Catholic Health East (CHE). Form 990, Part VI, Question 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. Catholic Health East (CHE) shall reserve to itself in its capacity as the Corporate Member of the Corporation the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. Approval of the closure of a hospital facility of the Corporation. 4. Approval of any sale, long term lease, mortgage, encumbrance or disposition of property of the Corporation constituting an 'alienation' under principles of canon law. 5. Approval of matters relating to the implementation of and compliance with the Ethical and Religious Directives. 6. Change in the name of the hospital facility of the Corporation. 7. Approval of substantive changes in the Articles of Incorporation of the Corporation and these Bylaws provided that prior notice of any change in the Articles of Incorporation of the Corporation or these Bylaws shall be provided to CHE and, if such change, as a result of CHE being a Catholic entity, must be approved by CHE, such change, regardless of whether it is substantive as a matter of civil law, shall be subject to the approval of the Member. 8. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). Form 990, Part VI, Question 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board via a web portal. Form 990, Part VI, Question 12c - Description of Process to Monitor Transactions for Conflicts of Interest St. Joseph's Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation. | |
| Part VI and Part VII | Form 990, Part VI, Question 15a & 15b - Process used for Compensation Review and Approval The organization uses an independent compensation committee, appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Administrative Officer & CFO, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year, the last review occurring in 2009, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, Part VI, Question 16B - Procedure to evaluate joint venture arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in their review is a review for compliance with relevant tax laws. Form 990, Part VI, Question 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public St. Joseph's Hospital, Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents and policies are not available for public inspection. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Albert Whitaker - BayCare Health System, Inc. - 1 Albert Whitaker - South Florida Baptist Hospital, Inc. - 1 Albert Whitaker - St. Joseph's Health Care Center, Inc. - 1 Belinda Wilson - South Florida Baptist Hospital, Inc. - 1 Belinda Wilson - St. Joseph's Health Care Center, Inc. - 1 Brenda Balicki - Franciscan Properties, Inc. - 1 Brenda Balicki - South Florida Baptist Hospital, Inc. - 1 Brenda Balicki - St. Joseph's Health Care Center, Inc. - 1 Bruce Rodwell - BayCare Health System, Inc. - 1 Bruce Rodwell - South Florida Baptist Hospital, Inc. - 1 Bruce Rodwell - South Florida Baptistt Hospital Foundation, Inc. - 1 Bruce Rodwell - St. Joseph's Health Care Center, Inc. - 1 Carolyn D. Mcmullen - South Florida Baptist Hospital, Inc. - 1 Carolyn D. Mcmullen - St. Joseph's Health Care Center, Inc. - 1 Cathy Yoder - Franciscan Properties, Inc. - 1 Cathy Yoder - John Knox Village of Tampa Bay, Inc. - 1 Cathy Yoder - San Damiano Enterprises, Inc. - 1 Cathy Yoder - South Florida Baptist Hospital, Inc. - 1 Cathy Yoder - St. Joseph's Ancillary Services, Inc. - 1 Cathy Yoder - St. Joseph's Community Care, Inc. - 1 Cathy Yoder - St. Joseph's Enterprises, Inc. - 1 Cathy Yoder - St. Joseph's Health Care Center, Inc. - 45 S. David Stamps - South Florida Baptist Hospital, Inc. - 1 S. David Stamps - St. Joseph's Health Care Center, Inc. - 1 Domenick Reina - South Florida Baptist Hospital, Inc. - 1 Domenick Reina - St. Joseph's Health Care Center, Inc. - 1 Donna Jordan - South Florida Baptist Hospital, Inc. - 1 Donna Jordan - St. Joseph's Health Care Center, Inc. - 1 Donna Jordan - St. Joseph's Hospital Foundation, Inc. - 1 Elaine Shimberg - South Florida Baptist Hospital, Inc. - 1 Elaine Shimberg - St. Joseph's Health Care Center, Inc. - 1 Elaine Shimberg - St. Joseph's Hospital Foundation, Inc. - 1 Sr. Gladys Sharkey - BayCare Health System, Inc. - 1 Sr. Gladys Sharkey - South Florida Baptist Hospital, Inc. - 1 Sr. Gladys Sharkey - St. Anthony's Hospital, Inc. - 1 Sr. Gladys Sharkey - St. Joseph's Health Care Center, Inc. - 1 Isaac Mallah - Franciscan Properties, Inc. - 1 Isaac Mallah - John Knox Village of Tampa Bay, Inc. - 1 Isaac Mallah - San Damiano Enterprises, Inc. - 1 Isaac Mallah - South Florida Baptist Hospital, Inc. - 1 Isaac Mallah - St. Joseph's Ancillary Services, Inc. - 1 Isaac Mallah - St. Joseph's Community Care, Inc. - 1 Isaac Mallah - St. Joseph's Enterprises, Inc. - 1 Isaac Mallah - St. Joseph's Health Care Center, Inc. - 45 Isaac Mallah - St. Joseph's Hospital Foundation, Inc. - 1 John P. Borreca - BayCare Health System, Inc. - 1 John P. Borreca - South Florida Baptist Hospital, Inc. - 1 John P. Borreca - St. Joseph's Health Care Center, Inc. - 1 Lee Kirkman - South Florida Baptist Hospital, Inc. - 1 Lee Kirkman - St. Joseph's Health Care Center, Inc. - 1 Lorraine Lutton - Franciscan Properties, Inc. - 1 Lorraine Lutton - San Damiano Enterprises, Inc. - 1 Lorraine Lutton - St. Joseph's Ancillary Services, Inc. - 1 Lorraine Lutton - St. Joseph's Community Care, Inc. - 1 Lorraine Lutton - St. Joseph's Enterprises, Inc. - 1 Lorraine Lutton - St. Joseph's Health Care Center, Inc. - 1 Mary Arghittu - BayCare Health System, Inc. - 1 Mary Arghittu - John Knox Village of Tampa Bay, Inc. - 1 Mary Arghittu - South Florida Baptist Hospital, Inc. - 1 Mary Arghittu - St. Joseph's Health Care Center, Inc. - 1 Michael Booher - South Florida Baptist Hospital, Inc. - 1 Michael Booher - St. Joseph's Health Care Center, Inc. - 1 Michael Aubin - Franciscan Properties, Inc. - 1 Michael Aubin - San Damiano Enterprises, Inc. - 1 Michael Aubin - St. Joseph's Ancillary Services, Inc. - 1 Michael Aubin - St. Joseph's Enterprises, Inc. - 1 Nora Musselman - BayCare Health System, Inc. - 1 Nora Musselman - South Florida Baptist Hospital, Inc. - 1 Nora Musselman - St. Joseph's Health Care Center, Inc. - 1 Nora Musselman - St. Joseph's Hospital Foundation, Inc. - 1 Patricia Donnelly - St. Joseph's Health Care Center, Inc. - 45 Stephen Buckely - South Florida Baptist Hospital, Inc. - 1 Stephen Buckely - St. Joseph's Health Care Center, Inc. - 1 Steve Smith - South Florida Baptist Hospital, Inc. - 1 Steve Smith - St. Joseph's Health Care Center, Inc. - 1 Walwin Metzger - South Florida Baptist Hospital, Inc. - 1 Walwin Metzger - St. Joseph's Health Care Center, Inc. - 1 William Muerer - South Florida Baptist Hospital, Inc. - 1 William Muerer - St. Joseph's Health Care Center, Inc. - 1 William West - BayCare Health System, Inc. - 1 William West - South Florida Baptist Hospital, Inc. - 1 William West - St. Joseph's Health Care Center, Inc. - 1 | |
| Part XI, Line 5 | Other changes in net assets Unrealized (loss) on swaps ($5,928,138) Change in Net Assets of Foundation ($189,603) Swap net asset transfer $3,379,470 Change in minimum pension obligation ($589,894) Total ($3,328,165) |
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